weirdscience

weirdscience

Critical Care

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All Content by weirdscience

  1. "I have an ethical problem"

    Not sure why that quoted so strangely. Sorry,
  2. "I have an ethical problem"

    Now THAT is heartbreaking.
  3. Narcan prescriptions in NH

    As the sibling of a current addict, I am grateful that responders were recently able to Narcan my stepbrother. As an RN, I know that recovery is a long shot, and I know how difficult these patients...
  4. ICU Charge nurse Vs. ICU floor nurse to become CRNA

    And even if you ARE jazzed, be prepared to get zero respect, like RyanCarolinaBoy said, from staff until you've earned it repeatedly, over a period of years. Not saying this is 100% warranted, but it...
  5. ICU Charge nurse Vs. ICU floor nurse to become CRNA

    As someone who went from med/surg to ICU, after coming from a decent length (~15 years) career in another field...this is terrifying to me. Both the thought of my ICU charge not being a seasoned ICU...
  6. "My Tech" or "My Aide"

    I have said it, but I also tell patients that "my charge nurse tonight is xx." I can kinda see why you don't like it, assuming it's being used in the context of establishing power/pecking order in...
  7. Low acuity patients when traveling

    Bluebolt, I see your points and I'd be scared of losing my skills, too. But it's the reality where I am...including making the travelers float more often (usually staffing our step down units.) I...
  8. If you work nights, what are your days off like?

    I don't rotate, which means I have to do all my exercising at the gym. On a high energy week, I get there on 3 of 4 "off" nights. On a low energy week, maybe once. On off days, I awaken between...
  9. Nurses: What Helps You The Most?

    Conversely, I had two AMAZING CA's who used to tag team on all of their turns, baths, etc. This helped free up tons of time for the nurses to see patients and chart, and seemed more efficient for...
  10. Nurses: What Helps You The Most?

    Some hospitals tell the CA's to address pain during rounds. I personally have no problem with this, except that I had one CA who was known for using it as an excuse to high-tail it out of the room...
  11. Valedictorian caught cheating

    Our class had a student nurse who was caught plagiarizing another student's assignment, and who was allowed to continue in the program. This person has now left a swath of scorched ground behind at,...
  12. Low acuity patients when traveling

    At my hospital you have to certify to take these devices. Usually if you've had them before, it's just a buddy day so they can check you off for competency. Have you talked to the charge(s) about what...
  13. How do you feel about professors locking the door?

    I think it's asinine. I got locked out when I was on time once in NS (class started at 8 am, I could see the clock in the room and it was 8 on the nose, door was locked.) I was 31 years old, had paid...
  14. Night shift is killing me

    Three weeks isn't quite long enough to acclimate to nights, especially if it's your first time doing so. Give it a good 6 weeks. It took me a month to get used to being back on nights after a short...
  15. Liability Coverage.

    I have it, but I'm new to ICU and had the insurance before I started. Regardless of whether or not it makes me an attractive target, I feel more comfortable WITH than
  16. thank you note after a shadowing???

    Great idea! Do it. You can bet not everyone will think of
  17. Don't you have to have a certain number of hours/years of Critical Care experience BEFORE obtaining CCRN, just as you do for other specialty certs? It wouldn't really be that distinguished if any ol'...
  18. Do you dream about work?

    After a stretch of particularly busy nights, I dreamt my pt had Zosyn ordered q8hr and I forgot to administer it all shift
  19. How often are you called off?

    Maybe 4-5x in just over a year. Mostly in summer
  20. Worst Night Ever

    Sorry you had a bad first night. As a new orientee, maybe next shift lay low and let your preceptor lead, instead of focusing on letting her know your flow from the get-go? You'll have plenty of time...
  21. Infernal Equinox

    My husband is bipolar and he has always told me that the springtime is the hardest time of year for
  22. First complaint against me...

    I always, ALWAYS try to start over with the family or patient in order to maintain THAT relationship. Not all can be salvaged; however, a little bit of sincere acknowledgment that you...
  23. Can you adjust your schedule so you have more stretches of 3 and 4 days off at a time? That should help some. 2 days is not enough to recoup from 3 twelves if you're newer and already
  24. I get the whole "have your ducks in a row before you call" thing, I REALLY do. But one thing that needs to be understood is that when you're a med/surg nurse with a 5 or 6 (or more) patient load, it's...
  25. It's end of shift and I'm leaving on time. Not!

    Oh yeah...new admit at 0200, orders to transfuse, pt with some sort of dementia+anxiety combo, family leaves bedside. First unit finally ready at 0500, sit with pt for the requisite 15 minutes, vitals...